1750421673 NPI number — WOBURN NEPHROLOGY ASSOCIATES PC

Table of content: (NPI 1750421673)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750421673 NPI number — WOBURN NEPHROLOGY ASSOCIATES PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WOBURN NEPHROLOGY ASSOCIATES PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750421673
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/13/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23 WARREN AVE
Provider Second Line Business Mailing Address:
SUITE 150
Provider Business Mailing Address City Name:
WOBURN
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01801
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-933-0710
Provider Business Mailing Address Fax Number:
781-937-3947

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23 WARREN AVE
Provider Second Line Business Practice Location Address:
SUITE 150
Provider Business Practice Location Address City Name:
WOBURN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-933-0710
Provider Business Practice Location Address Fax Number:
781-937-3947
Provider Enumeration Date:
02/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CRAGE
Authorized Official First Name:
MICHELE
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PARTNER IN ORGANIZATION
Authorized Official Telephone Number:
781-933-0710

Provider Taxonomy Codes

  • Taxonomy code: 207RN0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 695131 . This is a "TUFTS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: M18118 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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